Jacob K Luder, MD is a
Anesthesiology physician based in Sparta, Missouri. Jacob K Luder is licensed to practice in Missouri (license number 2000151553) and his current practice location is 705 Huron Dr, Sparta, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 239-3392.
NPI number for Jacob K Luder is 1952396061 and his current mailing address is 705 Huron Dr, Sparta, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952396061.
Physician's Profile
| Full Name | Jacob K Luder |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiology |
|---|
| Location | 705 Huron Dr, Sparta, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952396061
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 10/28/2022
Medical Identifiers
Medical identifiers for Jacob K Luder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952396061 | NPI | - | NPPES |
| 158591001 | Medicaid | AR | |
| 204957120 | Medicaid | MO | |
| 430998 | Other | MO | HEALTHLINK |
| 200077430A | Medicaid | OK | |
| 194111 | Other | MO | BCBS |
| 11171 | Other | MO | COX HEALTH |
| 204957104 | Medicaid | MO | |
| P00194821 | Other | MO | RAILROAD |
| 20174319965616B003 | Other | MO | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 2000151553 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob K Luder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob K Luder, MD
705 Huron Dr,
Sparta, MO 65753-1117
Ph: Not Available | Jacob K Luder, MD
705 Huron Dr,
Sparta, MO 65753-1117
Ph: (417) 239-3392 |
Reviews and Comments